| Entity Name: | PSYCHIATRIC SPECIALTY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Apr 2015 (10 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 03 Nov 2015 (9 years ago) |
| Document Number: | L15000072891 |
| FEI/EIN Number | 47-3833054 |
| Address: | 400 S AUSTRALIAN AVE, WEST PALM BEACH, FL, 33401, US |
| Mail Address: | 400 S AUSTRALIAN AVE, WEST PALM BEACH, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841678141 | 2015-05-07 | 2023-07-04 | 400 S AUSTRALIAN AVE STE 422, WEST PALM BEACH, FL, 334015004, US | 400 S AUSTRALIAN AVE STE 422, WEST PALM BEACH, FL, 334015004, US | |||||||||||||||||||||||||
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| Fax | 5613318074 |
Authorized person
| Name | AMANDA ENID PUSEY |
| Role | OWNER |
| Phone | 5613318800 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME113557 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME96194 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Williams Sean K | Agent | 1860 Old Okeechobee Rd, West Palm Beach, FL, 33409 |
| Name | Role |
|---|---|
| ELSSY N. OMS MD PA | Managing Member |
| AMANDA PUSEY, MD, LLC | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000055095 | TMS CLINIC | ACTIVE | 2024-04-25 | 2029-12-31 | No data | 400 S AUSTRALIAN AVE, SUITE 422, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-17 | Williams, Sean K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-17 | 1860 Old Okeechobee Rd, 506, West Palm Beach, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-24 | 400 S AUSTRALIAN AVE, 422, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-23 | 400 S AUSTRALIAN AVE, 422, WEST PALM BEACH, FL 33401 | No data |
| LC STMNT OF RA/RO CHG | 2015-11-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-01-16 |
| CORLCRACHG | 2015-11-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8101127208 | 2020-04-28 | 0455 | PPP | 560 VILLAGE BLVD, #150, WEST PALM BEACH, FL, 33409-1961 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
